Individual
DR. MARY HELEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4003 KRESGE WAY STE 500, LOUISVILLE, KY 40207-5603
(502) 897-1166
(502) 897-1461
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50018631NP
PASSPORT
—
05
—
6422859600
—
KY
01
—
P00689071
RR MC
—
Enumeration date
03/16/2007
Last updated
07/11/2019
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